HANNAH KOONS (NPI# 1164072674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164072674 |
| Entity Type | Individual |
| Full Name | HANNAH KOONS |
| Credential | PA-C |
| Practice Address |
20 Main St Andover NY 14806-9303 |
| Practice Telephone | 6074788421 |
| Practice Fax Number | 6074788886 |
| Mailing Telephone | 6074788421 |
| Mailing Fax Number | 6074788886 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
024039 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 MAIN ST |
| City | ANDOVER |
| State | NY |
| Zip Code | 14806-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649552464 | James Three Seventeen Medical Pllc | Family Medicine | 20 Main St, Andover, NY 14806 | 2011-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073169587 | Jillian Louise Forman | Counselor | 2 South Main St., Suite 3, Andover, NY 14806 | 2019-08-12 |
| 1083100549 | Chelsea Burdick | Speech-Language Pathologist | 4252 County Road 12, Andover, NY 14806 | 2018-07-09 |
| 1932508421 | Andover Volunteer Ambulance Corp Inc | Ambulance | 60 S. Main Street, Andover, NY 14806 | 2014-08-20 |
| 1902128382 | Cheri Ann Gavin | Licensed Practical Nurse | 10 Pleasant Ave., Andover, NY 14806 | 2010-02-25 |
| 1740437276 | Jennifer Austin Smith | Speech-Language Pathologist | 3135 Elm Street, Andover, NY 14806 | 2008-08-27 |
| 1619151784 | Judith E Okeefe | Licensed Practical Nurse | 4023 Cty Rd12, Andover, NY 14806 | 2007-12-24 |
| 1982719985 | Daniel L Woolston | Nurse Practitioner | 20 Sout Main St, Andover, NY 14806 | 2006-08-20 |
| 1922017128 | William A Coch | Family Medicine | 20 S Main St., Andover, NY 14806 | 2006-08-05 |
| 1174583066 | Trevor James Bechtel | Dentist | 2 Main Street, Andover, NY 14806 | 2006-03-24 |
| 1770569535 | David Douglas Gardner | Dentist | 2 South Main St, Andover, NY 14806 | 2005-12-22 |
| Find all providers in zip 14806 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972583649 | Ashli J Benjamin | Physician Assistant | 308 E Central Ave, Andover, KS 67002-5605 | 2006-01-19 |
| 1386073393 | Meghan Chase | Physician Assistant | 6 Windsor St, Andover, MA 01810-2605 | 2013-11-11 |
| 1528493608 | Emily N Regehr | Physician Assistant | 105 S Andover Rd, Ste D, Andover, KS 67002-7920 | 2013-09-09 |
| 1316383185 | Teresa M Jesse | Physician Assistant | 149 E Main St, Andover, OH 44003-9479 | 2013-05-20 |
| 1245420710 | Mai See Thao | Physician Assistant | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 | 2007-07-30 |
| 1356485379 | Melissa Bergeron | Physician Assistant | 323 Lowell St, Andover, MA 01810-4501 | 2007-02-16 |
| 1659323020 | Bridgette K Pocock | Physician Assistant | 308 E Central Ave, Andover, KS 67002-8897 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.